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Symptoms of eustachian tube dysfunction may include: Ear fullness Popping sensations Muffled hearing Ear pressure Mild dizziness Increased Ear Infections Children exposed to secondhand smoke have a higher risk of ear infections because smoke exposure irritates the upper airway and affects eustachian tube function. Secondhand smoke may contribute to: Recurrent ear infections Fluid buildup behind the eardrum Increased need for ear tubes in children Smoking and Hearing Loss Research suggests smoking may also increase the risk of hearing loss